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WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 401k Plan overview

Plan NameWELFARE PLAN OF THE ROOSEVELT PAPER COMPANY
Plan identification number 501

WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

ROOSEVELT PAPER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ROOSEVELT PAPER COMPANY
Employer identification number (EIN):231514696
NAIC Classification:424100

Additional information about ROOSEVELT PAPER COMPANY

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0100734310

More information about ROOSEVELT PAPER COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-10-01
5012019-10-01
5012018-10-01
5012017-10-01
5012016-10-01TONY JANULEWICZ
5012015-10-01TONY JANULEWICZ
5012014-10-01TONY JANULEWICZ
5012013-10-01ANTHONY S. JANULEWICZ
5012012-10-01ANTHONY S. JANULEWICZ
5012011-10-01ANTHONY S. JANULEWICZ
5012009-10-01ANTHONY S. JANULEWICZ
5012008-10-01

Plan Statistics for WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY

401k plan membership statisitcs for WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY

Measure Date Value
2021: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2021 401k membership
Total participants, beginning-of-year2021-10-01202
Total number of active participants reported on line 7a of the Form 55002021-10-01210
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01210
2020: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2020 401k membership
Total participants, beginning-of-year2020-10-01201
Total number of active participants reported on line 7a of the Form 55002020-10-01214
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01214
2019: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2019 401k membership
Total participants, beginning-of-year2019-10-01185
Total number of active participants reported on line 7a of the Form 55002019-10-01192
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01192
2018: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2018 401k membership
Total participants, beginning-of-year2018-10-01183
Total number of active participants reported on line 7a of the Form 55002018-10-01183
Number of retired or separated participants receiving benefits2018-10-012
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01185
2017: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2017 401k membership
Total participants, beginning-of-year2017-10-01194
Total number of active participants reported on line 7a of the Form 55002017-10-01183
Number of retired or separated participants receiving benefits2017-10-011
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01184
2016: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2016 401k membership
Total participants, beginning-of-year2016-10-01184
Total number of active participants reported on line 7a of the Form 55002016-10-01194
Number of retired or separated participants receiving benefits2016-10-011
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01195
2015: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2015 401k membership
Total participants, beginning-of-year2015-10-01177
Total number of active participants reported on line 7a of the Form 55002015-10-01184
Number of retired or separated participants receiving benefits2015-10-011
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01185
2014: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2014 401k membership
Total participants, beginning-of-year2014-10-01172
Total number of active participants reported on line 7a of the Form 55002014-10-01177
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01177
2013: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2013 401k membership
Total participants, beginning-of-year2013-10-01117
Total number of active participants reported on line 7a of the Form 55002013-10-01172
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01172
2012: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2012 401k membership
Total participants, beginning-of-year2012-10-01135
Total number of active participants reported on line 7a of the Form 55002012-10-01114
Number of retired or separated participants receiving benefits2012-10-013
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01117
2011: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2011 401k membership
Total participants, beginning-of-year2011-10-01146
Total number of active participants reported on line 7a of the Form 55002011-10-01127
Number of retired or separated participants receiving benefits2011-10-018
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01135
2009: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2009 401k membership
Total participants, beginning-of-year2009-10-01157
Total number of active participants reported on line 7a of the Form 55002009-10-01147
Number of retired or separated participants receiving benefits2009-10-011
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01148

Financial Data on WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY

Measure Date Value
2022 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$2,712,858
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$2,680,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$2,523,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$2,712,828
Value of total assets at end of year2022-09-30$156,072
Value of total assets at beginning of year2022-09-30$123,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$156,858
Total interest from all sources2022-09-30$30
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$541,180
Assets. Other investments not covered elsewhere at end of year2022-09-30$124,332
Assets. Other investments not covered elsewhere at beginning of year2022-09-30$120,261
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-09-30$31,678
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$32,420
Value of net assets at end of year (total assets less liabilities)2022-09-30$156,072
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$123,652
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-09-30$62
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-09-30$3,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-09-30$3,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-09-30$30
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$1,147,738
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30Yes
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$2,171,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$1,375,842
Contract administrator fees2022-09-30$156,858
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2022-09-30462878575
2021 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$2,770,050
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$2,740,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$2,394,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$2,770,049
Value of total assets at end of year2021-09-30$123,652
Value of total assets at beginning of year2021-09-30$94,328
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$346,203
Total interest from all sources2021-09-30$1
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$600,704
Assets. Other investments not covered elsewhere at end of year2021-09-30$120,261
Assets. Other investments not covered elsewhere at beginning of year2021-09-30$80,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$29,324
Value of net assets at end of year (total assets less liabilities)2021-09-30$123,652
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$94,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-09-30$3,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-09-30$13,468
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-09-30$13,468
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-09-30$1
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$1,153,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30Yes
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$2,169,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$1,241,388
Contract administrator fees2021-09-30$346,203
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Disclaimer
Accountancy firm name2021-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2021-09-30462878575
2020 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total income from all sources (including contributions)2020-09-30$2,717,403
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$2,623,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$2,336,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$2,717,377
Value of total assets at end of year2020-09-30$94,328
Value of total assets at beginning of year2020-09-30$881
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$287,039
Total interest from all sources2020-09-30$26
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$519,728
Assets. Other investments not covered elsewhere at end of year2020-09-30$80,860
Assets. Other investments not covered elsewhere at beginning of year2020-09-30$2
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-09-30$750,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$93,447
Value of net assets at end of year (total assets less liabilities)2020-09-30$94,328
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-30$13,468
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-30$879
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-30$879
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-09-30$26
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$1,479,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30Yes
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$2,197,649
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$106,889
Contract administrator fees2020-09-30$287,039
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2020-09-30462878575
2019 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$100,100
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$115,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$96,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$100,000
Value of total assets at end of year2019-09-30$881
Value of total assets at beginning of year2019-09-30$16,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$19,314
Total interest from all sources2019-09-30$100
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$25,428
Assets. Other investments not covered elsewhere at end of year2019-09-30$2
Assets. Other investments not covered elsewhere at beginning of year2019-09-30$9
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-15,541
Value of net assets at end of year (total assets less liabilities)2019-09-30$881
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$16,422
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-30$879
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$16,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$16,413
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-09-30$100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30Yes
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$74,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$96,327
Contract administrator fees2019-09-30$19,314
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2019-09-30462878575
2018 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$140,078
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$134,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$115,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$140,000
Value of total assets at end of year2018-09-30$16,422
Value of total assets at beginning of year2018-09-30$11,028
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$18,800
Total interest from all sources2018-09-30$78
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$25,496
Assets. Other investments not covered elsewhere at end of year2018-09-30$9
Assets. Other investments not covered elsewhere at beginning of year2018-09-30$7
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$5,394
Value of net assets at end of year (total assets less liabilities)2018-09-30$16,422
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$11,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$16,413
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$11,021
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$11,021
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-09-30$78
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30Yes
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$114,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$115,884
Contract administrator fees2018-09-30$18,800
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2018-09-30462878575
2017 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$135,035
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$125,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$107,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$134,999
Value of total assets at end of year2017-09-30$11,028
Value of total assets at beginning of year2017-09-30$1,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$17,831
Total interest from all sources2017-09-30$36
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$23,990
Assets. Other investments not covered elsewhere at end of year2017-09-30$7
Assets. Other investments not covered elsewhere at beginning of year2017-09-30$1
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$9,649
Value of net assets at end of year (total assets less liabilities)2017-09-30$11,028
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$1,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$11,021
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$1,378
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$1,378
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-09-30$36
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30Yes
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$111,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$107,555
Contract administrator fees2017-09-30$17,831
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2017-09-30462878575
2016 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$135,023
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$135,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$118,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$135,000
Value of total assets at end of year2016-09-30$1,379
Value of total assets at beginning of year2016-09-30$1,651
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$17,263
Total interest from all sources2016-09-30$23
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$21,780
Assets. Other investments not covered elsewhere at end of year2016-09-30$1
Assets. Other investments not covered elsewhere at beginning of year2016-09-30$0
Administrative expenses (other) incurred2016-09-30$5
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$-272
Value of net assets at end of year (total assets less liabilities)2016-09-30$1,379
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$1,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$1,378
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$1,651
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$1,651
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$23
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30Yes
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$113,220
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$118,032
Contract administrator fees2016-09-30$17,258
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2016-09-30462878575
2015 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$140,005
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$140,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$123,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$140,000
Value of total assets at end of year2015-09-30$1,651
Value of total assets at beginning of year2015-09-30$1,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$16,875
Total interest from all sources2015-09-30$5
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$20,919
Administrative expenses (other) incurred2015-09-30$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-167
Value of net assets at end of year (total assets less liabilities)2015-09-30$1,651
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$1,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$1,651
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$1,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$1,818
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$5
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$119,081
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$123,297
Contract administrator fees2015-09-30$16,872
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2015-09-30462878575
2014 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$120,004
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$125,537
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$110,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$120,000
Value of total assets at end of year2014-09-30$1,818
Value of total assets at beginning of year2014-09-30$7,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$15,217
Total interest from all sources2014-09-30$4
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Administrative expenses (other) incurred2014-09-30$4
Total non interest bearing cash at end of year2014-09-30$0
Total non interest bearing cash at beginning of year2014-09-30$266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$-5,533
Value of net assets at end of year (total assets less liabilities)2014-09-30$1,818
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$7,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$1,818
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$7,085
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$7,085
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$4
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$120,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$110,320
Contract administrator fees2014-09-30$15,213
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2014-09-30462878575
2013 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$130,002
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$134,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$118,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$130,000
Value of total assets at end of year2013-09-30$7,351
Value of total assets at beginning of year2013-09-30$11,605
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$15,684
Total interest from all sources2013-09-30$2
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Total non interest bearing cash at end of year2013-09-30$266
Total non interest bearing cash at beginning of year2013-09-30$2,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-4,254
Value of net assets at end of year (total assets less liabilities)2013-09-30$7,351
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$11,605
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$7,085
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$9,386
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$9,386
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$2
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30Yes
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$130,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$118,572
Contract administrator fees2013-09-30$15,684
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30MARGOLIS PARTNERS LLC
Accountancy firm EIN2013-09-30462878575
2012 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$130,002
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$131,951
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$114,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$130,000
Value of total assets at end of year2012-09-30$11,605
Value of total assets at beginning of year2012-09-30$13,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$17,549
Total interest from all sources2012-09-30$2
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Total non interest bearing cash at end of year2012-09-30$2,219
Total non interest bearing cash at beginning of year2012-09-30$4,257
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$-1,949
Value of net assets at end of year (total assets less liabilities)2012-09-30$11,605
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$13,554
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$9,386
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$9,297
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$9,297
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$2
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$130,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$114,402
Contract administrator fees2012-09-30$17,549
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30MARGOLISBECKER, LLC
Accountancy firm EIN2012-09-30205587699
2011 : WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$140,007
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$132,922
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$114,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$140,000
Value of total assets at end of year2011-09-30$13,554
Value of total assets at beginning of year2011-09-30$6,469
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$18,444
Total interest from all sources2011-09-30$7
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Total non interest bearing cash at end of year2011-09-30$4,257
Total non interest bearing cash at beginning of year2011-09-30$2,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$7,085
Value of net assets at end of year (total assets less liabilities)2011-09-30$13,554
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$6,469
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$9,297
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$4,462
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$4,462
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$7
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$140,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$114,478
Contract administrator fees2011-09-30$18,444
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30MARGOLISBECKER, LLC
Accountancy firm EIN2011-09-30205587699

Form 5500 Responses for WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY

2021: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: WELFARE PLAN OF THE ROOSEVELT PAPER COMPANY 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0148964-SL
Policy instance 2
Insurance contract or identification number0148964-SL
Number of Individuals Covered139
Insurance policy start date2022-01-01
Insurance policy end date2022-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,037,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615935
Policy instance 1
Insurance contract or identification numberG 00615935
Number of Individuals Covered197
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $19,338
Total amount of fees paid to insurance companyUSD $3,939
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $128,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,338
Amount paid for insurance broker fees3939
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0148964-SL
Policy instance 2
Insurance contract or identification number0148964-SL
Number of Individuals Covered132
Insurance policy start date2021-01-01
Insurance policy end date2021-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,014,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615935
Policy instance 1
Insurance contract or identification numberG 00615935
Number of Individuals Covered192
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $19,515
Total amount of fees paid to insurance companyUSD $3,859
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $130,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,515
Amount paid for insurance broker fees3859
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0148964
Policy instance 3
Insurance contract or identification number0148964
Number of Individuals Covered148
Insurance policy start date2020-01-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $771,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615935
Policy instance 2
Insurance contract or identification numberG 00615935
Number of Individuals Covered206
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $19,174
Total amount of fees paid to insurance companyUSD $3,777
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $127,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,174
Amount paid for insurance broker fees3777
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number8504E
Policy instance 1
Insurance contract or identification number8504E
Number of Individuals Covered154
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $15,342
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $573,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,342
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615935
Policy instance 2
Insurance contract or identification numberG 00615935
Number of Individuals Covered192
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $18,768
Total amount of fees paid to insurance companyUSD $1,837
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $125,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,768
Amount paid for insurance broker fees1837
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number8504E
Policy instance 1
Insurance contract or identification number8504E
Number of Individuals Covered154
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $61,370
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,293,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,370
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number8504E
Policy instance 1
Insurance contract or identification number8504E
Number of Individuals Covered139
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $59,135
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,067,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00615935
Policy instance 2
Insurance contract or identification numberG 00615935
Number of Individuals Covered188
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $18,824
Total amount of fees paid to insurance companyUSD $7,252
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DIDMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $125,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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